Provider Demographics
NPI:1225283609
Name:ENHANCED AUDITORY RESOURCES LLC
Entity Type:Organization
Organization Name:ENHANCED AUDITORY RESOURCES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:R WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MASON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-969-4327
Mailing Address - Street 1:181 WELLS AVENUE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02459
Mailing Address - Country:US
Mailing Address - Phone:617-969-4327
Mailing Address - Fax:617-969-4326
Practice Address - Street 1:181 WELLS AVENUE
Practice Address - Street 2:SUITE 100
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02459
Practice Address - Country:US
Practice Address - Phone:617-969-4327
Practice Address - Fax:617-969-4326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-26
Last Update Date:2014-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA37217332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment